Members Signature___________________________________Date

I Hereby make application for membership in and agree to conform to the Bylaws, as may be amended, of Patterson FCU ("Credit Union"). I certify that I am within the field of membership of this Credit Union; the SIGNATURES(S) on this card apply to all accounts designated above; and all information provided is true and correct. I also acknowledge that I have received and agree to be bound by the terms and conditions on this form and in the Accounts & Services of the Credit Union Booklet, Truth-in-Savings Act Rate and fee Schedule, and any Special Account or other separate Account Services Applications or Agreements as amended from time to time, which are incorporated herein by reference. All present and future deposits to the account(s) designated above secure payment of any account owner's obligations to the Credit Union. Further, I agree that the street and e-mail addresses above are publicly available and will be used by the Credit Union and certain third parties to provide notices, disclosures and other communications as explained in the Credit Union's Privacy Policy. The singular includes the plural as applicable herein. The Internal Revenue Service (IRS) does not require the applicant's consent to any provision of this document other than the certification required to avoid backup withholding previous mentioned above

I AUTHORIZE THE CREDIT UNION TO DO A CREDIT INVESTIGATION.